Kelly Lynn Berna in Shawano - Physical Therapy Assistant
Kelly Lynn Berna - NPI 1750377511
Kelly Lynn Berna is a Physical Therapy Assistant in Shawano, Wisconsin. Kelly Lynn Berna practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kelly Lynn Berna is 1750377511. The last update date is 2007-07-08.
Kelly Lynn Berna's current location address is 116 N Main St, Shawano, Wisconsin. You can contact this provider via phone number 7155267370 and fax number 7155267294. The mailing address for Kelly Lynn Berna is 116 N Main St, Shawano, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Lynn Berna |
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Address | 116 N Main St, Shawano, Wisconsin |
Phone Number | 7155267370 |
Fax Number | 7155267294 |
Sole Proprietor | X |
Credentials | PTA |
NPI Number Detail
NPI Number | 1750377511 |
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Provider Enumeration Date | 2005-09-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 116 N Main St |
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City | Shawano |
State | Wisconsin (WI) |
Post Code | 541662356 |
Phone Number | 7155267370 |
Fax Number | 7155267294 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapy Assistant |
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Taxonomy | 225200000X |
Licence No | 24019 |
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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40390300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly Lynn Berna by the Centers for Medicare & Medicaid Services?
The Kelly Lynn Berna has been issued the NPI (National Provider Identifier) 1750377511 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kelly Lynn Berna is geographically located?
The Kelly Lynn Berna is physically situated at the following location: 116 N Main St, Shawano, WI, 541662356.
What is Kelly Lynn Berna's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Lynn Berna's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750377511 to Kelly Lynn Berna?
The Kelly Lynn Berna received its 1750377511 assignment from the Centers for Medicare & Medicaid Services on 2005-09-26.
As of what date was the information pertaining to Kelly Lynn Berna, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Lynn Berna, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH